DR. DANIEL AARON HIRSELJ M.D.
NPI 1962603175
Urology - Pediatric Urology in Portland, OR
NPI Status: Active since May 29, 2007
Contact Information
2230 NW PETTYGROVE ST
SUITE #210
PORTLAND, OR
ZIP 97210
Phone: (503) 223-6223
- Individual
- Male
- Urology
- Pediatric Urology
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About DANIEL HIRSELJ
This page provides the complete NPI Profile along with additional information for Daniel Hirselj, a provider established in Portland, Oregon with a medical specialization in Urology, focusing in pediatric urology . The healthcare provider is registered in the NPI registry with number 1962603175 assigned on May 2007. The practitioner's primary taxonomy code is 2088P0231X with license number 35-089730 (OH). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1962603175
- Provider Name
- DR. DANIEL AARON HIRSELJ M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2230 NW PETTYGROVE ST SUITE #210 PORTLAND, OR 97210
- Location Phone
- (503) 223-6223
- Mailing Address
- 32 NE GRAHAM ST PORTLAND, OR 97212
- Mailing Phone
- (503) 284-4018
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-29-2007
- Last Update Date
- 07-28-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology Pediatric Urology
- Taxonomy Code
- 2088P0231X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35-089730
- License State
- OH
- Taxonomy Description
- Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Connect 1500 Gold - EPO
- Connect 5000 Silver - EPO
- Connect 9200 Bronze - EPO
- HSA Qualified 7100 Bronze - Signature Network - EPO
- HSA Qualified 7100 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Legacy - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Daniel Hirselj is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
e-Prescribing | 95% | 328 |
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
Health Information Exchange | 2% | 368 |
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
Implementation of medication management practice improvements | Yes | N/A |
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
Medication Reconciliation | 100% | 1254 |
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
Patient-Specific Education | 38% | 1840 |
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
Provide Patient Access | 64% | 1840 |
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
Secure Messaging | 4% | 1840 |
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
Security Risk Analysis | Yes | N/A |
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Specialized Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
Use of decision support and standardized treatment protocols | Yes | N/A |
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 9 | 6 | 2 | 6 | 0 | 3 | 1 | 7 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 12 | 2 | 12 | 0 | 6 | 1 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 1 + 2 + 2 + 1 + 2 + 0 + 6 + 1 + 1 + 4 + 24 = 55 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 55 = 5 | 5 |
The NPI number 1962603175 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1740288158 | STANLEY A MYERS M.D. Individual | Urology | 2230 NW PETTYGROVE ST STE 210 PORTLAND, OR 97210 (503) 223-6223 |
1760411466 | DR. GAIL OTT D.C. Individual | Chiropractor | 2230 NW PETTYGROVE ST SUITE 110 PORTLAND, OR 97210 (503) 224-4804 |
1619995172 | NORTHWEST UROLOGICAL CLINIC PC Organization | Specialist | 2230 NW PETTYGROVE ST SUITE 210 PORTLAND, OR 97210 (503) 223-6223 |
1609965870 | KATHY GOFF L.P.N., SA-C Individual | Clinical Nurse Specialist (Medical-Surgical) | 2230 NW PETTYGROVE ST SUITE 210 PORTLAND, OR 97210 (503) 223-6223 |
1629119243 | KATHERINE SEMSCH L.M.T Individual | Massage Therapist | 2230 NW PETTYGROVE ST STE 110 PORTLAND, OR 97210 (503) 224-4804 |
1326189945 | JOYCE SOUZA L.M.T Individual | Massage Therapist | 2230 NW PETTYGROVE ST STE. 110 PORTLAND, OR 97210 (503) 224-4804 |
1659412286 | CRISTINE M WAKEFIELD L.M.T Individual | Massage Therapist | 2230 NW PETTYGROVE ST STE. 110 PORTLAND, OR 97210 (503) 224-4804 |
1215078837 | AUTUMN LEAH PETERSON L.M.T Individual | Massage Therapist | 2230 NW PETTYGROVE ST STE. 110 PORTLAND, OR 97210 (503) 224-4804 |
1588874945 | MS. JOY ILYNN OLSON L.M.T. Individual | Specialist | 2230 NW PETTYGROVE ST SUITE 110 PORTLAND, OR 97210 (503) 224-4804 |
1336336643 | DR. JESSIE ANN SPEIRS N.D. Individual | Naturopath | 2230 NW PETTYGROVE ST #120 PORTLAND, OR 97210 (503) 222-2322 |
1043464910 | MARGO RENEE SPERRY-HUDSON LMT Individual | Specialist | 2230 NW PETTYGROVE ST SUITE 110 PORTLAND, OR 97210 (503) 224-4804 |
1962630723 | ALEXI SARA HEDLUND LMT Individual | Chiropractor | 2230 NW PETTYGROVE ST SUITE 110 PORTLAND, OR 97210 (503) 224-4804 |
1093050163 | DR. SHANE HARRISON OTT D.C. Individual | Chiropractor | 2230 NW PETTYGROVE ST SUITE 110 PORTLAND, OR 97210 (503) 224-4804 |
1114268117 | JASMIN L CATOE-GANAHL L.M.T. Individual | Massage Therapist | 2230 NW PETTYGROVE ST SUITE 140 PORTLAND, OR 97210 (503) 224-1818 |
1700924719 | DR. HYON SOO HAROLD KIM MD Individual | Otolaryngology (Otology & Neurotology) | 2230 NW PETTYGROVE ST STE 120 PORTLAND, OR 97210 (503) 444-7676 |
1124288386 | PATRICIA LEE FLETTER AU.D, CCC-A Individual | Audiologist | 2230 NW PETTYGROVE ST STE 120 PORTLAND, OR 97210 (503) 444-7676 |
1144698309 | NORTHWEST UROLOGY, LLC Organization | Non-Pharmacy Dispensing Site | 2230 NW PETTYGROVE ST PORTLAND, OR 97210 (503) 223-6223 |
1841674280 | NORTHWEST EAR INSTITUTE PC Organization | Otolaryngology (Otology & Neurotology) | 2230 NW PETTYGROVE ST STE. 120 PORTLAND, OR 97210 (503) 444-7676 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962603175, enumerated in the NPI registry as an "individual" on May 29, 2007
The provider is located at 2230 Nw Pettygrove St Suite #210 Portland, Or 97210 and the phone number is (503) 223-6223
The provider's speciality is Urology with taxonomy code 2088P0231X with a focus in Pediatric Urology
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BridgeSpan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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